Evidence map›Paper›PMID 33468556›Full record

ArticleJournal for immunotherapy of cancer2021

Clinical impact of COVID-19 on patients with cancer treated with immune checkpoint inhibition.

Aljosja Rogiers, Ines Pires da Silva, Chiara Tentori, Carlo Alberto Tondini, Joseph M Grimes, Megan H Trager, Sharon Nahm, Leyre Zubiri, Michael Manos, Peter Bowling and 39 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Case-control study assessing the impact of COVID19 in advanced kidney cancer patients treated with antiangiogenics or immunotherapy: the COVID-REN study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  10. Observational
  11. Review
  12. Observational
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

49 authors.

Aljosja Rogiers *Melanoma Institute Australia and University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-3807-9696
Ines Pires da Silva *Melanoma Institute Australia and University of Sydney, Sydney, New South Wales, Australia.
Chiara TentoriFROM Fondazione per la Ricerca Ospedale Maggiore, Bergamo, Italy.
Carlo Alberto TondiniPapa Giovanni XXIII Hospital, Bergamo, Italy.
Joseph M GrimesColumbia University Irving Medical Center, New York City, New York, USA.
Megan H TragerColumbia University Irving Medical Center, New York City, New York, USA.ORCID http://orcid.org/0000-0002-7330-1627
Sharon NahmThe Christie NHS Foundation Trust, Manchester, UK.ORCID http://orcid.org/0000-0001-6744-2717
Leyre ZubiriMassachusetts General Hospital Cancer Center, Boston, Massachusetts, USA.
Michael ManosDana Farber Cancer Institute, Boston, Massachusetts, USA.
Peter BowlingDana Farber Cancer Institute, Boston, Massachusetts, USA.
Arielle ElkriefSegal Cancer Centre Jewish General Hospital, McGill University, Montreal, Québec, Canada.
Neha PapnejaSegal Cancer Centre Jewish General Hospital, McGill University, Montreal, Québec, Canada.
Maria Grazia VitaleDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Italy.
April A N RosePrincess Margaret Cancer Centre - University Health Network, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-9845-4603
Jessica S W BorgersNetherlands Cancer Institute, Amsterdam, The Netherlands.
Severine RoyGustave Roussy and Paris-Saclay University, Villejuif, France.
Joanna ManganaDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
Thiago Pimentel MunizPrincess Margaret Cancer Centre - University Health Network, Toronto, Ontario, Canada.
Tim CooksleyThe Christie NHS Foundation Trust, Manchester, UK.
Jeremy LupuGustave Roussy and Paris-Saclay University, Villejuif, France.
Alon VaismanPrincess Margaret Cancer Centre - University Health Network, Toronto, Ontario, Canada.
Samuel D SaibilPrincess Margaret Cancer Centre - University Health Network, Toronto, Ontario, Canada.
Marcus O ButlerPrincess Margaret Cancer Centre - University Health Network, Toronto, Ontario, Canada.
Alexander M MenziesMelanoma Institute Australia and University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-5183-7562
Matteo S CarlinoMelanoma Institute Australia and University of Sydney, Sydney, New South Wales, Australia.
Michael ErdmannComprehensive Cancer Center Erlangen - EMN, University Medical Center Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.ORCID http://orcid.org/0000-0001-7136-6489
Carola BerkingComprehensive Cancer Center Erlangen - EMN, University Medical Center Erlangen, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.ORCID http://orcid.org/0000-0003-0229-8931
Lisa ZimmerUniversity Hospital Essen & German Cancer Consortium, Partner Site, Essen, Germany.
Dirk SchadendorfUniversity Hospital Essen & German Cancer Consortium, Partner Site, Essen, Germany.ORCID http://orcid.org/0000-0003-3524-7858
Laura PalaEuropean Institute of Oncology, Milan, Italy.
Paola QueiroloDivision of Melanoma, Sarcomas and Rare Tumors, IEO, European Institute of Oncology, IRCCS, Milan, Italy.
Christian PoschTechnical University of Munich, German Cancer Consortium (DKTK), Munich, Germany.
Axel HauschildUniversity Hospital Schleswig-Holstein, Kiel, Germany.
Reinhard DummerDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
John HaanenNetherlands Cancer Institute, Amsterdam, The Netherlands.
Christian U BlankNetherlands Cancer Institute, Amsterdam, The Netherlands.
Caroline RobertGustave Roussy and Paris-Saclay University, Villejuif, France.
Ryan J SullivanMassachusetts General Hospital Cancer Center, Boston, Massachusetts, USA.
Paolo Antonio AsciertoDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics, Istituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Italy.ORCID http://orcid.org/0000-0002-8322-475X
Wilson H MillerSegal Cancer Centre Jewish General Hospital, McGill University, Montreal, Québec, Canada.
F Stephen HodiDana Farber Cancer Institute, Boston, Massachusetts, USA.
Karijn P M SuijkerbuijkUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Kerry L ReynoldsMassachusetts General Hospital Cancer Center, Boston, Massachusetts, USA.
Osama E RahmaDana Farber Cancer Institute, Boston, Massachusetts, USA.
Paul C LoriganThe Christie NHS Foundation Trust, Manchester, UK.
Richard D CarvajalColumbia University Irving Medical Center, New York City, New York, USA.
Serigne LoMelanoma Institute Australia and University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-5092-5544
Mario Mandala *Unit of Medical Oncology, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0001-8846-8959
Georgina V Long *Melanoma Institute Australia and University of Sydney, Sydney, New South Wales, Australia georgina.long@sydney.edu.au.ORCID http://orcid.org/0000-0001-8894-3545

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with cancer who are infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are more likely to develop severe illness and die compared with those without cancer. The impact of immune checkpoint inhibition (ICI) on the severity of COVID-19 illness is unknown. The aim of this study was to investigate whether ICI confers an additional risk for severe COVID-19 in patients with cancer.

methodsWe analyzed data from 110 patients with laboratory-confirmed SARS-CoV-2 while on treatment with ICI without chemotherapy in 19 hospitals in North America, Europe and Australia. The primary objective was to describe the clinical course and to identify factors associated with hospital and intensive care (ICU) admission and mortality.

findingsThirty-five (32%) patients were admitted to hospital and 18 (16%) died. All patients who died had advanced cancer, and only four were admitted to ICU. COVID-19 was the primary cause of death in 8 (7%) patients. Factors independently associated with an increased risk for hospital admission were ECOG ≥2 (OR 39.25, 95% CI 4.17 to 369.2, p=0.0013), treatment with combination ICI (OR 5.68, 95% CI 1.58 to 20.36, p=0.0273) and presence of COVID-19 symptoms (OR 5.30, 95% CI 1.57 to 17.89, p=0.0073). Seventy-six (73%) patients interrupted ICI due to SARS-CoV-2 infection, 43 (57%) of whom had resumed at data cut-off.

interpretationCOVID-19-related mortality in the ICI-treated population does not appear to be higher than previously published mortality rates for patients with cancer. Inpatient mortality of patients with cancer treated with ICI was high in comparison with previously reported rates for hospitalized patients with cancer and was due to COVID-19 in almost half of the cases. We identified factors associated with adverse outcomes in ICI-treated patients with COVID-19.

Indexed as

AdultAgedAged, 80 and overCohort StudiesCOVID-19FemaleHumansImmune Checkpoint InhibitorsMaleMiddle AgedNeoplasmsRetrospective StudiesSARS-CoV-2Immune Checkpoint Inhibitorsimmunotherapy

Identifiers

PMID33468556
PMCPMC7817383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.